Lincoln’s wisdom

It seems a good time to reflect on some of Lincoln’s words at Gettysburg:

“-that from these honored dead we take increased devotion to that cause for which they gave the last full measure of devotion — that we here highly resolve that these dead shall not have died in vain — that this nation, under God, shall have a new birth of freedom — and that government of the people, by the people, for the people, shall not perish from the earth.”

Of, by and for the people – not just the privileged few.

2021-07-04T11:30:07-05:00July 4th, 2021|Home, Musings|

On Donald Rumsfeld

I thought these sentences, written by George Packer in The Atlantic, pretty much said it all about Rumsfeld:

“Wherever the United States government contemplated a wrong turn, Rumsfeld was there first with his hard smile — squinting, mocking the cautious, shoving his country deeper into a hole. His fatal judgment was equaled only by his absolute self-assurance. He lacked the courage to doubt himself. He lacked the wisdom to change his mind.”

 

2021-07-02T16:34:32-05:00July 2nd, 2021|Home, Musings|

Now tell me again why you aren’t vaccinated…

Some collated information from AP that should resonate – but will it?

Nearly all COVID deaths in US are now among unvaccinated

“An Associated Press analysis of available government data from May shows that “breakthrough” infections in fully vaccinated people accounted for fewer than 1,200 of more than 853,000 COVID-19 hospitalizations. That’s about 0.1%.

And only about 150 of the more than 18,000 COVID-19 deaths in May were in fully vaccinated people. That translates to about 0.8%, or five deaths per day on average.”

and

“Ross Bagne, a 68-year-old small-business owner in Cheyenne, Wyoming, was eligible for the vaccine in early February but didn’t get it. He died June 4, infected and unvaccinated, after spending more than three weeks in the hospital, his lungs filling with fluid. He was unable to swallow because of a stroke.

“He never went out, so he didn’t think he would catch it,” said his grieving sister, Karen McKnight. She wondered: “Why take the risk of not getting vaccinated?””

Why indeed. We are really bad at comparing relative risks, aren’t we? The Dunning Kruger effect in action…

2021-06-25T16:13:18-05:00June 25th, 2021|Home, Musings|

Be afraid…

•Pay attention to what Tom Friedman says in his NYT opinion piece, “The Trump G.O.P.’s Plot Against Liz Cheney — and Our Democracy.” An excerpt:

“In effect, the Trump G.O.P. has declared that winning the next elections for the House, Senate and presidency is so crucial — and Trump’s ability to energize its base so irreplaceable — that it justifies both accepting his Big Lie about the 2020 election and leveraging that lie to impose new voter-suppression laws and changes in the rules of who can certify elections in order to lock in minority rule for Republicans if need be. It is hard to accept that this is happening in today’s America, but it is.”

And be very afraid.

2021-06-13T19:59:53-05:00May 11th, 2021|Home, Musings|

Perhaps a method to greatly reduce post wound scarring?

Gina Kolata has an interesting story in the Times – Imagine, Surgery Without a Scar.  The researchers, in an article published in the April 23 Science, found that inhibiting Engrailed-1 activation in fibroblasts remarkably inhibits scarring after wounding in mice.  If similar results are found in humans, this would be a great boon for many patients.

From the paper:

Wounds in adult mammals typically heal by forming fibrotic scars. Mascharak et al. found that a specific population of skin fibroblasts (Engrailed-1 lineage–negative fibroblasts) activate expression of Engrailed-1 and turn on profibrotic cellular programs in response to local tissue mechanics in wounds (see the Perspective by Konieczny and Naik). When mechanical signaling was inhibited in these cells (using either genetic deletion or small-molecule inhibition), skin wounds in mice no longer formed scars but instead healed by regeneration, restoring skin with normal hair follicles and glands, extracellular matrix, and mechanical strength.

2021-04-23T16:03:02-05:00April 23rd, 2021|Home, Musings|

An important verdict

•George Floyd mattered.   Let’s hope the long awaited accountability provided by this verdict is a first of many steps toward restorative justice for all Americans.

2021-06-13T20:00:14-05:00April 20th, 2021|Home, Musings|

What guns mean to Americans

Elizabeth Rosenthal has it right in her Washington Post commentary, I was a teenage gun owner, then an ER doctor. Assault-style weapons make me sick.:

“…the United States has undergone a cultural, definitional, practical shift on guns and what they are for.

Once mostly associated in the public mind with sport, guns in the United States are now widely regarded more as weapons to maim or kill — or to protect from the same. Guns used to be on a continuum with bows and arrows; now they seem better lumped in with grenades, mortars and bombs.”

4/8/21 AMA statement on curbing gun violence

2021-04-12T08:33:33-05:00April 11th, 2021|Home, Musings|
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